Journal of spinal disorders最新文献

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Prospective study of trigeminal sensibility after whiplash trauma. 鞭伤后三叉神经敏感性的前瞻性研究。
Journal of spinal disorders Pub Date : 2001-12-01 DOI: 10.1097/00002517-200112000-00003
Y. Sterner, G. Toolanen, M. Knibestöl, B. Gerdle, C. Hildingsson
{"title":"Prospective study of trigeminal sensibility after whiplash trauma.","authors":"Y. Sterner, G. Toolanen, M. Knibestöl, B. Gerdle, C. Hildingsson","doi":"10.1097/00002517-200112000-00003","DOIUrl":"https://doi.org/10.1097/00002517-200112000-00003","url":null,"abstract":"Trigeminal sensory impairment is frequent in whiplash cases. The pathophysiology is unknown. The purpose of the present investigation was to prospectively study the trigeminal sensibility for temperature and vibration and to evaluate their relationship with the clinical symptoms. Thirty-four of 43 patients with whiplash injury were investigated through quantitative sensory tests with a mean of 6 weeks and 71 months after injury. Sensory disturbances over the trigeminal skin area persisted over the years ( r = 0.764. p < 0.000). At follow-up, a significant correlation ( r = 0.614, p < 0.000) was found between the sensory disturbances and the symptoms related to the central nervous system, whereas no significant relationship was found with the musculoskeletal symptoms. Trigeminal sensory impairment can either be explained by dysfunction in the central nervous system or by inhibitory mechanisms secondary to pain.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 6 1","pages":"479-86"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200112000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 47
The use of neostigmine to treat postoperative ileus in orthopedic spinal patients. 应用新斯的明治疗骨科脊柱患者术后肠梗阻。
Journal of spinal disorders Pub Date : 2001-12-01 DOI: 10.1097/00002517-200112000-00014
Peter L. Althausen, Munish C. Gupta, Daniel R. Benson, David Jones
{"title":"The use of neostigmine to treat postoperative ileus in orthopedic spinal patients.","authors":"Peter L. Althausen, Munish C. Gupta, Daniel R. Benson, David Jones","doi":"10.1097/00002517-200112000-00014","DOIUrl":"https://doi.org/10.1097/00002517-200112000-00014","url":null,"abstract":"Ileus is a common complication of spinal surgery, affecting 5% to 12% of all patients. Often this ileus is secondary to acute colonic pseudo-obstruction. This study is a prospective clinical trial of neostigmine in seven spinal patients with ileus after surgery to demonstrate its efficacy. All patients had evidence of the Ogilvie syndrome that was unresponsive to 24 hours of conservative therapy. Patients received 2 mg neostigmine, and abdominal circumference, clinical response, and radiographic colonic measurements were recorded. Patients were followed for recurrence of ileus for their remaining time in the hospital. Six patients had prompt colonic decompression, and no patient had recurrence of colonic distension. Side effects were minimal. These results suggest that postoperative spinal patients with ileus secondary to acute colonic pseudo-obstruction that is unresponsive to conservative therapy benefit from treatment with neostigmine, resulting in safe, rapid decompression of the colon.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 6 1","pages":"541-5"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200112000-00014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 70
Cervical circumduction in normal subjects: a study of maximal versus feigned effort. 正常受试者的宫颈环切术:最大用力与假装用力的对比研究。
Journal of spinal disorders Pub Date : 2001-12-01 DOI: 10.1097/00002517-200112000-00002
Z. Dvir, T. Prushansky
{"title":"Cervical circumduction in normal subjects: a study of maximal versus feigned effort.","authors":"Z. Dvir, T. Prushansky","doi":"10.1097/00002517-200112000-00002","DOIUrl":"https://doi.org/10.1097/00002517-200112000-00002","url":null,"abstract":"The feasibility of using the coefficient of variation in conjunction with motion parameters derived from head circumduction to obtain a compact criterion for differentiating maximal from feigned cervical motion was evaluated. Twenty-five healthy subjects were measured twice during a period of 3 weeks using an ultrasonography-based motion analysis system. Subjects were asked to produce maximal motion of the spine as well as to feign limitation. Extracted from the displayed traces of head circumduction, the angular values of the primary motions of flexion, extension, right and left lateral flexion, as well as their additive score (AS) were determined. No test-retest differences were indicated. The average range of motion (ROM) was significantly smaller and the coefficient of variation of the ROM was significantly larger in the feigned compared with the maximal performance in both tests. However, tolerance interval analysis indicated that the coefficient of variation could not effectively separate between the effort levels, being particularly deficient with respect to AS. In addition, a differential sensitivity in identifying false-negative cases as a function of the movement paradigm was revealed. This study indicates that in healthy subjects, the use of a complex cervical movement such as circumduction cannot serve for differentiating between maximal and feigned performance using the coefficient of variation. The results may also point out the existence of a mechanism for adjusting proportional reductions among the primary cervical motions that result in excellent repeatability even in feigned efforts.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 6 1","pages":"472-8"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200112000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Early course and long-term follow-up after automated percutaneous lumbar discectomy. 自动经皮腰椎间盘切除术后的早期治疗和长期随访。
Journal of spinal disorders Pub Date : 2001-12-01 DOI: 10.1097/00002517-200112000-00009
N. Ramberg, T. Sahlstrand
{"title":"Early course and long-term follow-up after automated percutaneous lumbar discectomy.","authors":"N. Ramberg, T. Sahlstrand","doi":"10.1097/00002517-200112000-00009","DOIUrl":"https://doi.org/10.1097/00002517-200112000-00009","url":null,"abstract":"In this prospective study, the clinical outcome in the early course as well as the long-term results were analyzed after automated percutaneous lumbar discectomy (APLD). Thirty consecutive patients are included, all with a contained lumbar disc herniation on magnetic resonance imaging. There was a significant reduction in the sciatic pain and straight leg raising (SLR) test postoperatively at all the different measurements in the early course except for the sciatic pain at 2 weeks. On the same occasions, there was no change in the back pain or the Oswestry score. Ten patients needed subsequent open surgery. For the remaining patients, the long-term result showed a significant and unchanged improvement in the sciatic pain and SLR. In addition, the Oswestry score had now significantly improved. The failure rate of APLD turned out to be unacceptably high in this study, because 38% of the patients needed subsequent open surgery. However, an early satisfactory course also seemed to imply a beneficial long-term prognosis.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 6 1","pages":"511-6; discussion 516-7"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Assessment of cervical ligamentous injury in trauma patients using MRI. 创伤患者颈椎韧带损伤的MRI评估。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00001
M. Geck, Stephen Yoo, Jeffrey C. Wang
{"title":"Assessment of cervical ligamentous injury in trauma patients using MRI.","authors":"M. Geck, Stephen Yoo, Jeffrey C. Wang","doi":"10.1097/00002517-200110000-00001","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00001","url":null,"abstract":"During a 7-year period, a consecutive retrospective series of 89 trauma patients at a Level One trauma center who had negative standard radiographs with suspected occult cervical injury were administered a cervical magnetic resonance imaging (MRI) scan. The MRI studies were fully able to assess the ligamentous status of the cervical spine in all patients and were the final step in determining the treatment of the spine. Of the total 89 patients, 82 had no ligamentous injury, and 7 had ligamentous injury. Two patients underwent surgery because of the findings on the MRI study. MRI studies of patients with negative standard radiographs but with suspected occult cervical injury are excellent and safe studies for the evaluation of cervical spinal stability because of their ability to detect ligamentous injuries that are not evident on plain radiographs.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"371-7"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 35
Anterior lumbar interbody fusion using a barbell-shaped cage: a biomechanical comparison. 前路腰椎椎体间融合术使用杠铃形笼:生物力学比较。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00003
H. Murakami, S. Boden, W. Hutton
{"title":"Anterior lumbar interbody fusion using a barbell-shaped cage: a biomechanical comparison.","authors":"H. Murakami, S. Boden, W. Hutton","doi":"10.1097/00002517-200110000-00003","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00003","url":null,"abstract":"There are drawbacks to using threaded cylindrical cages (e.g., limited area for bone ingrowth and metal precluding radiographic visualization of bone healing). To somewhat offset these drawbacks, a barbell-shaped cage has been designed. The central core of the barbell can be wrapped with collagen sheets infiltrated with bone morphogenetic protein. The obvious theoretical advantages of a barbell cage have to be weighed against potential biomechanical disadvantages. Our purpose was to compare the biomechanical properties of an anterior lumbar interbody reconstruction using 18-mm-diameter threaded cylindrical cages, with a reconstruction using barbell cages (18-mm diameter and 6 mm wide at both cylindrical ends, with a round 4-mm-diameter bar joining the two ends). Twelve cadaveric lumbar motion segments were tested. Three L5-S1 segments received two threaded cylindrical cages, and three L5-S1 segments received two barbell cages. Three L3-L4 segments received one threaded cylindrical cage, and three L3-L4 segments received one barbell cage. A series of biomechanical loading sequences were carried out on each motion segment, and stiffness curves were obtained. After the biomechanical testing, an axial compressive load was applied to the motion segments until failure. They were then radiographed and bisected through the disc, and the subsidence (or penetration) of the cage(s) in the cancellous bone of the vertebral bodies was measured. There was no difference in terms of stiffness between the motion segments with the threaded cylindrical cage(s) inserted and those with the barbell cage(s) inserted (p > 0.15). The average values of subsidence was 0.96 mm for the threaded cylindrical cage group and 0.80 mm for the barbell cage group (difference not significant: p = 0.38). The results suggest that a reconstruction using barbell cages is a biomechanically acceptable alternative to one using threaded cylindrical cages.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"385-92"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder. 腰椎管狭窄合并神经性膀胱患者的临床症状和手术结果。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00006
Y. Kawaguchi, M. Kanamori, H. Ishihara, K. Ohmori, Y. Fujiuchi, H. Matsui, Tomoatsu Kimura
{"title":"Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder.","authors":"Y. Kawaguchi, M. Kanamori, H. Ishihara, K. Ohmori, Y. Fujiuchi, H. Matsui, Tomoatsu Kimura","doi":"10.1097/00002517-200110000-00006","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00006","url":null,"abstract":"We evaluated the clinical and radiologic features of patients with lumbar spinal stenosis with neuropathic bladder. Based on cystometrogram analysis, the patients were divided into two groups--the neuropathic bladder (NB) group: the NB+ group (23 patients), and the nonneuropathic bladder group: the NB- group (14 patients). The symptom of incontinence was characteristic in patients in the NB+ group. Patients in the NB+ group had a more severe neurologic disturbance, compared with those in the NB- group. The more severe neurologic disturbance was caused by the more striking finding of degenerative spinal stenosis associated with developmental narrowing of the spinal canal. Decompressive surgery had a beneficial effect on the recovery of the neurologic symptoms in both groups. Residual urine volume was reduced after surgery. Postoperative cystometrogram was carried out in nine patients in the NB+ group. It showed a normal pattern in six patients; however, three patients remained in an underactive pattern. Furthermore, four patients still required clear intermittent self-catheterization after surgery.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"404-10"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
A new application of TCE-MEP: spinal cord monitoring in patients with severe neuromuscular weakness undergoing corrective spine surgery. TCE-MEP的新应用:脊柱矫正手术中严重神经肌肉无力患者的脊髓监测。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00012
D. Langeloo, H. Journee, B. Polak, M. de Kleuver
{"title":"A new application of TCE-MEP: spinal cord monitoring in patients with severe neuromuscular weakness undergoing corrective spine surgery.","authors":"D. Langeloo, H. Journee, B. Polak, M. de Kleuver","doi":"10.1097/00002517-200110000-00012","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00012","url":null,"abstract":"The importance of spinal cord monitoring during corrective scoliosis surgery is widely acknowledged. However, for patients with preoperative neurologic deficits, its use is technically difficult. In this article, we describe intraoperative transcranial electrical motor evoked potential (TCE-MEP) monitoring in nine patients with neuromuscular weakness who underwent corrective scoliosis surgery. In each patient, eight muscle groups were recorded and stable responses were obtained in all patients. We conclude that TCE-MEP permits monitoring of the spinal cord in patients with disturbed motor function.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"445-8"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 29
The penetration of cefoperazone and sulbactam into the lumbar intervertebral discs. 头孢哌酮舒巴坦对腰椎间盘的穿透作用。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00014
A. Köroğlu, O. Acar, M. E. Ustün, B. Tıras, O. Eser
{"title":"The penetration of cefoperazone and sulbactam into the lumbar intervertebral discs.","authors":"A. Köroğlu, O. Acar, M. E. Ustün, B. Tıras, O. Eser","doi":"10.1097/00002517-200110000-00014","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00014","url":null,"abstract":"Six patients received 1 g and six other patients received 2 g of cefoperazone and sulbactam 15 minutes before lumbar disc surgery. Liquid chromatographic analysis of disc tissue revealed that only patients receiving the 2-g dose had mean tissue levels above the minimum inhibitory concentration for Staphylococcus aureus and epidermidis.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"453-4"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Simultaneous anterior-posterior thoracolumbar spine surgery. 同时前后胸腰椎手术。
Journal of spinal disorders Pub Date : 2001-10-01 DOI: 10.1097/00002517-200110000-00002
L. Deutsch, M. Testiauti, T. Borman
{"title":"Simultaneous anterior-posterior thoracolumbar spine surgery.","authors":"L. Deutsch, M. Testiauti, T. Borman","doi":"10.1097/00002517-200110000-00002","DOIUrl":"https://doi.org/10.1097/00002517-200110000-00002","url":null,"abstract":"The purpose of this article is to report our experience with simultaneous anterior and posterior approach spine surgery. The patient is placed in the decubitus position. Two teams of spine surgeons simultaneously perform surgical approaches, decompression, arthrodesis, and instrumentation. No repositioning, repreparing, or redraping is necessary. Twelve patients with varying lesions underwent this procedure. This technique is presented as an alternative to the sequential single-staged anterior and posterior procedure and the two-staged procedures performed under separate anesthetics. Although no statistical significance can be concluded, we believe a larger series will demonstrate that operative time is decreased, potential risks of repositioning are avoided, and superior exposure and mobilization of spinal elements are afforded. Exposure, decompression, and stabilization posteriorly is feasible in the decubitus position.","PeriodicalId":77226,"journal":{"name":"Journal of spinal disorders","volume":"14 5 1","pages":"378-84"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002517-200110000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61370115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
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